# HCPCS A4256: Normal, low, and high calibrator solution/chips

Medicare HCPCS A4256 pays $3.38 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $3.38 in Wyoming to $3.38 in Alabama, a 0% spread.

Web page: https://www.med-reveal.com/rates/A4256-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $3.38 |
| National facility | $3.38 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alabama | $3.38 | $3.38 |
| Alaska | $3.38 | $3.38 |
| Arizona | $3.38 | $3.38 |
| Arkansas | $3.38 | $3.38 |
| California | $3.38 | $3.38 |
| Colorado | $3.38 | $3.38 |
| Connecticut | $3.38 | $3.38 |
| Delaware | $3.38 | $3.38 |
| District of Columbia | $3.38 | $3.38 |
| Florida | $3.38 | $3.38 |
| Georgia | $3.38 | $3.38 |
| Hawaii | $3.38 | $3.38 |
| Idaho | $3.38 | $3.38 |
| Illinois | $3.38 | $3.38 |
| Indiana | $3.38 | $3.38 |
| Iowa | $3.38 | $3.38 |
| Kansas | $3.38 | $3.38 |
| Kentucky | $3.38 | $3.38 |
| Louisiana | $3.38 | $3.38 |
| Maine | $3.38 | $3.38 |
| Maryland | $3.38 | $3.38 |
| Massachusetts | $3.38 | $3.38 |
| Michigan | $3.38 | $3.38 |
| Minnesota | $3.38 | $3.38 |
| Mississippi | $3.38 | $3.38 |
| Missouri | $3.38 | $3.38 |
| Montana | $3.38 | $3.38 |
| Nebraska | $3.38 | $3.38 |
| Nevada | $3.38 | $3.38 |
| New Hampshire | $3.38 | $3.38 |
| New Jersey | $3.38 | $3.38 |
| New Mexico | $3.38 | $3.38 |
| New York | $3.38 | $3.38 |
| North Carolina | $3.38 | $3.38 |
| North Dakota | $3.38 | $3.38 |
| Ohio | $3.38 | $3.38 |
| Oklahoma | $3.38 | $3.38 |
| Oregon | $3.38 | $3.38 |
| Pennsylvania | $3.38 | $3.38 |
| Puerto Rico | $3.38 | $3.38 |
| Rhode Island | $3.38 | $3.38 |
| South Carolina | $3.38 | $3.38 |
| South Dakota | $3.38 | $3.38 |
| Tennessee | $3.38 | $3.38 |
| Texas | $3.38 | $3.38 |
| Utah | $3.38 | $3.38 |
| Vermont | $3.38 | $3.38 |
| Virgin Islands | $3.38 | $3.38 |
| Virginia | $3.38 | $3.38 |
| Washington | $3.38 | $3.38 |
| West Virginia | $3.38 | $3.38 |
| Wisconsin | $3.38 | $3.38 |
| Wyoming | $3.38 | $3.38 |

## Related codes

- A4233: Replacement battery, alkaline, for blood glucose monitor — https://www.med-reveal.com/rates/A4233-hcpcs-fee-schedule
- A4238: Supply allowance for adjunctive continuous glucose monitor, per month — https://www.med-reveal.com/rates/A4238-hcpcs-fee-schedule
- A4239: Supply allowance for non-adjunctive continuous glucose monitor, per month — https://www.med-reveal.com/rates/A4239-hcpcs-fee-schedule
- A4244: Alcohol or peroxide, per pint — https://www.med-reveal.com/rates/A4244-hcpcs-fee-schedule
- A4245: Alcohol wipes, per box — https://www.med-reveal.com/rates/A4245-hcpcs-fee-schedule
- A4250: Urine test/reagent strips — https://www.med-reveal.com/rates/A4250-hcpcs-fee-schedule
- A4253: Blood glucose test/reagent strips — https://www.med-reveal.com/rates/A4253-hcpcs-fee-schedule
- A4258: Spring-powered device for lancet — https://www.med-reveal.com/rates/A4258-hcpcs-fee-schedule

Commercial negotiated rates for A4256 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules